5th B.E.E.R ENDURO ATTACK
REGISTRATION FOR THE FINAL LEG OF THE
COMMENCAL/ FOX ENDURO ALLIANCE
LUZON RACE SERIES 2018
Email address *
Complete Name *
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Birthday *
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YYYY
Enduro Alliance ID (ex. 01012018MLS) *
The Enduro Alliance implements the EA I.D system to make the registration faster and consistent the whole year. All participants should be careful not to keep on changing names and their corresponding spelling, upper and lowercase letters each time they register online. For the first timers, your EA I.D will be your birthdate plus your initials. For example January 1, 2018. Manuel L. Santos. Your EA I.D will be 01012018MLS
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Address *
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Contact Number *
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Category *
Team *
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Shirt Size *
Waiver *
In consideration of my registration and permitting me to participate in this event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) Waive, release, and discharge from any and all liability for my death, disability, personal injury, property damage, property theft or actions of any kind which may hereafter accrue to my participation in this event, the ff: Enduro Alliance, the local organizers, and their directors, officers, employees, volunteers, representatives and agents, the event sponsors and event volunteers, (B) Indemnify and hold harmless all entities or persons mentioned in this paragraph from any and all liabilities or claims made by other individuals or entities as a result of my actions during the 5th B.E.E.R Enduro Attack to be held this 25th day of November 2018 at Mt Samat National Shrine, Brgy. Diwa, Pilar, Bataan
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Emergency Contact Information *
NAME
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Emergency Contact Information *
CONTACT NUMBER
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